| NPI | 1770656050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HOMER Executive Vice President Of Busines 937-229-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-09-11 |