| NPI | 1679978571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA NA'MORE FEARS Clinical Director 937-274-4369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 201412600828) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |