| NPI | 1962017202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA NEWTON CEO 937-393-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251X00000X |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |