| NPI | 1447947171 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | TERESA GRAHAM President/Manager 601-500-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-08-24 |