NPI | 1760105217 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY J JARVIS Owner / Executive Director 937-673-6988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-09-20 |