NPI | 1790339703 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMICAH BETTS Intake Coordinator 937-204-7506 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0801X | |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-07-29 |