| NPI | 1477594000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAYES BOYLES Medical Director 937-434-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 0016AS) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-02-28 |