| NPI | 1851088751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCHWARCK Director 937-856-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |