NPI | 1083477954 |
---|---|
Entity Type | Organization |
Authorized Contact | TENIA BRIANNE BENGTSON Nutritionist, CEO 720-403-6553 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-29 |