| NPI | 1598327405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MICHELE FOX-WILLIAMS Chemical Dependency Counselor 937-815-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |