| NPI | 1306489521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MCFARLANE-EL CEO 937-734-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 122300000X Dentist | |
| 152W00000X Optometrist | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |