| NPI | 1619469525 |
|---|---|
| Other Name | MEDICARE DIABETIC PREVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L POWERS Chief Executive Officer 208-934-8765 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |