| NPI | 1679466312 |
|---|---|
| Doing Business As | MIKI J BEACH, LICSW |
| Entity Type | Organization |
| Authorized Contact | MIKI BEACH Owner 802-305-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |