NPI | 1346899267 |
---|---|
Former Legal Business Name | CREATIVE JUICES NUTRITION THERAPY & EDUCATION |
Entity Type | Organization |
Authorized Contact | CARY FARDAL President 503-855-6171 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
251V00000X Voluntary or Charitable | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2023-09-20 |