| NPI | 1790315380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN ALONZO MCDONALD Executive Director 937-305-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-04-03 |