| NPI | 1407534159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI ALDRIDGE Program Specialist 937-222-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |