| NPI | 1003187782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BROOKS Billing/Finance Supervisor 336-513-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |