| NPI | 1992421580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA WRIGHT Administrator 937-677-8217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |