| NPI | 1528426533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY E MORRIS Nurse Manager 937-208-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: OH 322597) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |