| NPI | 1578551594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH (SALLY) F MERRILL Administrator 937-390-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 309-0388AS) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |