| NPI | 1831961671 |
|---|---|
| Doing Business As | ONEFIFTEEN |
| Entity Type | Organization |
| Authorized Contact | CATHERINE MCCARVER Chief Executive Officer 937-884-3712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2025-04-21 |