| NPI | 1568136968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRIER CEO 877-557-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |