| NPI | 1063895472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MORGAN WADDELL Clinical Dietitian 984-974-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NC L003712) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |