| NPI | 1235974692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEEFAH N APPLEBERRY CEO 937-718-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-10-02 |