| NPI | 1811763618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ASHLEY Owner 937-718-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 164W00000X Licensed Practical Nurse | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-01-16 |