NPI | 1891934618 |
---|---|
Doing Business As | ROCKING HORSE COMMUNITY HEALTH CENTER MADISON SUD |
Entity Type | Organization |
Authorized Contact | SHONDA E WALLACE CFO 937-324-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2009-02-18 |
Last Update Date | 2024-11-20 |