| NPI | 1750929949 |
|---|---|
| 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 | 2019-12-18 |
| Last Update Date | 2019-12-18 |