| NPI | 1164150363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVA BIRDI CEO/Bmg 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |