| NPI | 1376031468 |
|---|---|
| Doing Business As | DEACONESS DIABETES PREVENTION PROGRAM - GATEWAY |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |