| NPI | 1528733755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI ALDRIDGE Program Specialist 937-222-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2022-06-23 |