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 |