| NPI | 1437613155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH JOY HIXSON Registered Dietitian 720-900-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |