| NPI | 1861026973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALENDRE D MCGHEE Owner 937-999-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2023-08-29 |