| NPI | 1669915484 |
|---|---|
| Doing Business As | GIRLS/GUYS OFF DRUGS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RONALD LYNN DEBLANC Executive Director/Therapist 937-245-4792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 150165) |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |