| NPI | 1518759075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY BASTIN SNAVELY Owner 937-901-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-27 |