| NPI | 1023782406 |
|---|---|
| Doing Business As | THE CENTER FOR WEIGHT LOSS, LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHNSON Owner 662-538-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |