| NPI | 1619232451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THALES PAVLATOS Managing Director 937-408-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: OH 13476) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |