| NPI | 1255722336 | 
|---|---|
| Doing Business As | ATHENIX BODY SCULPTING INSTITUTE | 
| Entity Type | Organization | 
| Authorized Contact | JAMES HAEFNER Administration 949-600-9931 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical | 
| Enumeration Date | 2015-02-11 | 
| Last Update Date | 2015-02-11 |