| NPI | 1801542824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAAKA CASH CEO 833-667-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |