NPI | 1427936483 |
---|---|
Entity Type | Organization |
Authorized Contact | TENISHA YVONNE BIBBS Owner 678-522-9332 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
253Z00000X In Home Supportive Care | |
261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-08-26 |