| NPI | 1801756119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUPOOR GLASER Psychiatric Nurse Practitioner 937-269-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |