| NPI | 1386468510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE JAMES Owner 937-248-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |