| NPI | 1366839979 |
|---|---|
| Doing Business As | THE DELICIOUS DIETITIAN |
| Entity Type | Organization |
| Authorized Contact | AMBER L. HOUSTON Vice President Administration 251-767-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 076850) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |