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 |