| NPI | 1053821827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DURWOOD WHITTEN President 443-438-7863 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3730) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: MD DX3730) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |