| NPI | 1528752300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIUP A KIM Owner 602-730-6438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |