| 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 |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2016-08-17 |