| NPI | 1972016012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KINGSTON Executive Director 937-350-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2017-12-11 |