| NPI | 1548784705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIA ALLEN Owner 937-765-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-21 |