| NPI | 1952940835 |
|---|---|
| Doing Business As | NABHCO |
| Entity Type | Organization |
| Authorized Contact | LATONYA JANETT CARROLL Owner 877-318-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-12-25 |
| Last Update Date | 2024-06-05 |