# UMATR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992417661
- **Authorized official:** MR. KEITH ANTHONY VUKASINOVICH (CEO)
- **Authorized official phone:** (937) 369-3020

## Contact information

- **Practice address:** 519 XENIA AVE, DAYTON, OH 45410-1823
- **Practice address phone:** (937) 369-3020
- **Mailing address:** 201 W FRANKLIN ST STE B, CENTERVILLE, OH 45459-4700
- **Mailing address phone:** (937) 369-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 12/14/2022
- **Last updated:** 12/14/2022