| NPI | 1356191712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DENISE ALLEN CEO 937-770-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-09-06 |