| NPI | 1770297178 |
|---|---|
| Former Legal Business Name | FRUIT STREET HEALTH, INC. |
| Entity Type | Organization |
| Authorized Contact | LAURENCE GIRARD CEO 347-515-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-12-16 |