| NPI | 1891226262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HANSFORD Executive Director 937-433-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-0417) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |