| NPI | 1669978656 |
|---|---|
| Doing Business As | FAIRBORN MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHEILA R DUNN Owner 937-768-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.18073) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |