NPI | 1326710906 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS LARAWAY Chief Financial Officer 602-747-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-10-01 |
Last Update Date | 2021-12-29 |