NPI | 1407559545 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYLA FAIR-FLEMING RN 937-304-2907 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2023-03-27 |