| NPI | 1316365927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDALE NICOLE ATKINSON CEO 937-603-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2016-11-30 |