| NPI | 1407588114 |
|---|---|
| Doing Business As | THE CENTER FOR HEALTHY LIVING AT PNW |
| Entity Type | Organization |
| Authorized Contact | JEN HODGES Chief Client Officer 317-727-9148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-04-04 |