| NPI | 1679336705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRESA LESTER Lab Director 800-910-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-09-05 |