NPI | 1952653255 |
---|---|
Doing Business As | TRIVITA WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | PAUL JOHN BERNITT Administrator 480-337-4148 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2012-10-10 |
Last Update Date | 2016-08-17 |