| NPI | 1972150423 |
|---|---|
| Doing Business As | FAIRBORN MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHEILA RAE DUNN CEO 937-318-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |