| NPI | 1255818126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CARBAUGH Diabetes Prevention Program Manager 234-200-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |