| NPI | 1740244284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L WARNER Executive Director 937-399-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OH 05-1327) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-08-22 |