| NPI | 1518478387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GENE GRANT Executive Director 937-233-1230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1200685) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |