| NPI | 1285426726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA TALLEY Executive Director 937-572-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |