| NPI | 1548217748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT RICKABAUGH Chief Financial Officer 937-253-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 1407) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH PROVIDER 1407) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 10-2063) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-09-07 |