| NPI | 1164534095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ELLIS Chief Medical Director 623-277-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-01-28 |