| NPI | 1285008342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MCCLENDON Owner 210-495-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68993) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |