| NPI | 1417206954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WARD Managing Partner 937-522-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 208D00000X General Practice | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2018-02-07 |