| NPI | 1417404849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN HARRIS RN 937-208-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 366774) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |