| NPI | 1083151526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH DEWITT Owner/Member 256-289-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 86050943) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |