| NPI | 1316257553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVIDSON Executive Director 800-484-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003782) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2024-06-03 |