| NPI | 1598746265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FRANK KOLACZKOWSKI Executive Director 937-223-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-03-24 |