| NPI | 1346972510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA MITCHELL Director Of Credentialing Services 937-204-7593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |