| NPI | 1255606299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COX Executive Director 937-352-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 021358) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH S30785) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |