| NPI | 1710907597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D NUSCHER Chief Executive Officer 937-427-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 493) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 11001) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |