| NPI | 1578251252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW RAY CULBERTSON Founder 937-549-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |