| NPI | 1730016668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA BLUE Owner 919-696-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 251F00000X Home Infusion | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-21 |