| NPI | 1679652325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSI LEE Hr COO Rdinator 937-299-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QA3000X Clinic/Center Augmentative Communication | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-02-12 |