| NPI | 1134509904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA OBERLIN Nutrition Educator 419-799-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA DI60174557) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |