| NPI | 1578135695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISHA DEWBERRY Director Of Operations 937-979-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2024-05-07 |