| NPI | 1316761661 |
|---|---|
| Other Name | MIKEE'S PLACE 2 GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | RANDALL COOPER CFO 410-810-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |