| NPI | 1558678151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FRANK KOLACZKOWSKI Owner/Director 937-223-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |