| NPI | 1063301455 |
|---|---|
| Doing Business As | BENJAMIN MIZE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MIZE Member 859-230-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |