| NPI | 1891286548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ELAINE SALDIVAR CEO 937-207-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 06-7538) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |