| NPI | 1750528550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS O'BRYAN President/Executive Director 937-223-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 636) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |