| 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 |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-29 |