| NPI | 1679152607 |
|---|---|
| Doing Business As | TBI |
| Entity Type | Organization |
| Authorized Contact | STEFANIE VELGOS Clinical Director 888-900-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-02-12 |