| Jay And Marsha Millard Foundation | |
|
1629 Madison Ave Covington KY 41011-3317 | |
| (859) 307-9296 | |
| Not Available |
| Full Name | Jay And Marsha Millard Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1629 Madison Ave, Covington, Kentucky |
| Authorized Official Name and Position | Jay Millard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8593079296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay And Marsha Millard Foundation 1629 Madison Ave Covington KY 41011-3317 Ph: () - | Jay And Marsha Millard Foundation 1629 Madison Ave Covington KY 41011-3317 Ph: (859) 307-9296 |
| NPI Number | 1376322164 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376322164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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