| NPI | 1699049056 |
|---|---|
| Doing Business As | MILE HIGH FOSTER FAMILY AGENCY & YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | PERCY A IRVING Managing Member 510-385-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2016-02-12 |