| NPI | 1700680758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDA PARSON Owner 937-684-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |