| NPI | 1053853168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MICHELLE TILT Owner & Registered Dietitian 765-630-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-08 |