| NPI | 1033777370 |
|---|---|
| Former Legal Business Name | PRIME MOVEMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH STILZ Founder 317-558-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 261QC1500X Clinic/Center Community Health | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2024-11-05 |