NPI | 1891266557 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDYN GARNER President 773-960-3024 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
291U00000X Clinical Medical Laboratory | |
Enumeration Date | 2018-12-06 |
Last Update Date | 2021-09-20 |