| NPI | 1912262619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI WALTERS Office Manager/Biller 937-325-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |