| NPI | 1144637554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA BOOTH PITCHER Registered Dietitian 803-785-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local (Licence: SC 108) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |