NPI 1093190266
Pediatric Weight Management Clinic
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
Community/Behavioral Health Agency
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.