| NPI | 1568998904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODESCU MACKLIN Qa Manger/Intake/Assessment Supvr. 937-267-5098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH LICDC 161440) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |