| NPI | 1326445735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIN LEE BURR Director Of Clinical Services 937-925-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.006467) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |