NPI | 1588315360 |
---|---|
Doing Business As | CTX DRIP BAR |
Entity Type | Organization |
Authorized Contact | KELLY CHANELL PITTS CEO 870-225-5647 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-01-13 |