| NPI | 1235585126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMMY ROBINSON CEO 606-638-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-11-18 |