Individual
MR. QUADE MILUM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11156 CANAL RD, CINCINNATI, OH 45241-5815
(305) 785-2203
Mailing address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
08/29/2020
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