| NPI | 1003515677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENISE HORDGE Owner, Operator 817-405-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |