| NPI | 1497822514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIA K DUSSIA Owner 937-849-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH C0500552) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-07-30 |