Whalio Doctors

NPI 1093190266

Pediatric Weight Management Clinic

Organisation Case Management Agency Peoria, AZ

Practice location

Address
8432 W Larkspur Dr, Peoria, AZ 85381-5177
Phone
(623) 340-0800

Authorised official

Name
Michaesha Griffin
Title
Executive Director
Phone
(623) 340-0800

Registered specialties (2)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1093190266
Entity type
Organization
NPI issued
29 Jul 2015
Record last updated
29 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.