| NPI | 1669538955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG A CARTER Business Administrator 937-233-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-08-11 |