| NPI | 1447347265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY COX Director 937-322-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |