| NPI | 1801316971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA CONFER Executive Director 937-384-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 01-7580) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |