| NPI | 1154131571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAXTON BOYER CEO 214-236-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133N00000X Nutritionist | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-02-07 |