| NPI | 1306025572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN D GANZSARTO CEO 937-298-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-01-29 |