| NPI | 1578125738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist Nutrition, Education |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-12-28 |