| NPI | 1528417516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL F MCDANIEL Executive Director 937-262-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 991673) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |