NPI | 1467096396 |
---|---|
Entity Type | Organization |
Authorized Contact | SHONDALE ATKINSON CEO 937-603-6643 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-11-04 |
Last Update Date | 2019-11-04 |