| NPI | 1346085727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY R MARCUM Director 937-668-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-04-02 |