| NPI | 1740033083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEE DIVER Lbclc/ Owner 937-657-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |