Organization
JAY AND MARSHA MILLARD FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MILLARD (EXECUTIVE DIRECTOR)
(859) 307-9296
Entity
Organization
Contact information
Practice address
1629 MADISON AVE, COVINGTON, KY 41011-3317
(859) 307-9296
Mailing address
1629 MADISON AVE, COVINGTON, KY 41011-3317
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
11/01/2023
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