| NPI | 1407431992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJ-BRITT STEVENS Owner 567-277-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-08-08 |