| NPI | 1104130848 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAURA ELIZABETH RELLIHAN President 904-448-8681  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5439)  | 
| Enumeration Date | 2010-08-05 | 
| Last Update Date | 2012-02-22 |