| NPI | 1477886810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANA BURGOHY BROWN Manager/Nutrition Consultant 866-722-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ND3644) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2012-02-06 |