| NPI | 1659640167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO WILLIS Ex. Director 937-263-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-7509) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2013-10-29 |