| NPI | 1750072849 |
|---|---|
| Other Name | BLAQOUT, INC. |
| Entity Type | Organization |
| Authorized Contact | D. RASHAAN GILMORE Founder/CEO 816-866-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261Q00000X | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |