| NPI | 1124570320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA FAITH HOUSTON Administrative Coordinator 864-915-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-07 |