| NPI | 1427850874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA ROBINSON Lab Director 769-333-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QX0200X Clinic/Center, Oncology | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |