| NPI | 1073260113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN ELIZABETH BAILEY Co Owner 614-300-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2025-05-30 |