| NPI | 1356654941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W MONROE Treasurer 937-548-1635 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 052) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |