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 |
Additional Taxonomies | 133N00000X Nutritionist |
133NN1002X Nutritionist, Nutrition, Education | |
261QC1500X Clinic/Center, Community Health | |
261QC1800X | |
261QM0801X | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2019-06-02 |
Last Update Date | 2022-09-19 |