NPI | 1992417661 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH ANTHONY VUKASINOVICH CEO 937-369-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2022-12-14 |
Last Update Date | 2022-12-14 |