| NPI | 1306449384 |
|---|---|
| Other Name | ADULLAM SOBER LIVING PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JEORGE L LOGAN Director 937-303-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |