| NPI | 1730944810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA D VANDERLUGT Authorized Official 888-491-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |