| NPI | 1578181236 |
|---|---|
| Doing Business As | BLAQK BOX |
| Entity Type | Organization |
| Authorized Contact | RUTH WHELLER Managing Member 870-530-5739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-09-14 |