Provider Demographics
NPI:1942807680
Name:MITEF ENTERPRISE INC
Entity Type:Organization
Organization Name:MITEF ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BISHOP
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:513-375-5872
Mailing Address - Street 1:90 BRITTONY WOODS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-2204
Mailing Address - Country:US
Mailing Address - Phone:513-375-5872
Mailing Address - Fax:
Practice Address - Street 1:90 BRITTONY WOODS DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-2204
Practice Address - Country:US
Practice Address - Phone:513-375-5872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty