Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Counselor |
101Y00000X | |||
Other Service Providers |
175T00000X |
| NPI # | 1376408641 |
| LBN Legal business name | ENVERITAS, LLC |
| Authorized official | MKALE WARNER - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/18/2025 |
| Last updated | 12/18/2025 - About 6 months ago |
| Identifiers | n/a |
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