| NPI | 1275057416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BASHAW-CORDELL Co Owner 937-608-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH E0008328-SUPV) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-03-17 |