| NPI | 1932823929 |
|---|---|
| Doing Business As | TRACY'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | CHIQUITA SHIELDS President/Director 859-229-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |