| NPI | 1588199079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L HILL Executive Director 937-380-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.130274) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2018-03-26 |