| NPI | 1720458300 |
|---|---|
| Doing Business As | THE MICAH HOUSE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOCKETT CEO 612-314-2460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1069387) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |