| NPI | 1932801461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE E WILLIAMS CEO 937-270-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-06-07 |