NPI | 1366851842 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA LOUISE SAMS Dietitian 928-338-3664 |
Organization Subpart ? | No |
Primary Taxonomy | 284300000X Special Hospital (Licence: OK 86008901) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2016-11-02 |