| 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 |