| NPI | 1710750294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY LYNN WITWER Owner/Clinician 937-602-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |