| NPI | 1487592044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONA JOLLY Owner 937-307-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2026-03-24 |
| Last Update Date | 2026-03-24 |