| NPI | 1306163423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTA M SCRUGGS Director 937-367-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.6525) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH F78220) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |