| NPI | 1609226364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DEE BERRY Colon Hydrotherapist 480-269-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2017-01-19 |