| NPI | 1215424668 |
|---|---|
| Doing Business As | CANYON RANCH |
| Entity Type | Organization |
| Authorized Contact | HENRY DITTMER Senior Vice President Of Finance 520-749-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC8497) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |