| NPI | 1245738541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F KOLACZKOWSKI Director 937-272-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083T0002X Preventive Medicine, Medical Toxicology (Licence: OH 36D2087191) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |