| NPI | 1538755319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES SMITH Director 937-435-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |