| NPI | 1184174914 |
|---|---|
| Doing Business As | MADISON HEALTHPLEX PERFORMANCE TRAINING CENTER |
| Entity Type | Organization |
| Authorized Contact | GREG CENTILLI Executive Director 601-856-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |