| NPI | 1588998132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVID DOOLEY President 937-427-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 4010) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |