| NPI | 1528582046 |
|---|---|
| Former Legal Business Name | THERAPEUTICS L.M.T |
| Entity Type | Organization |
| Authorized Contact | TANIKA GILLARD Owner/Operator 731-616-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 6345) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |