| NPI | 1639609548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WARD Managing Partner 937-522-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-01-03 |