| NPI | 1447807524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEGARRIUS TORIANO JONES Chief Execute Officer 937-516-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |