| NPI | 1497107684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY COVINGTON MIKOLAJEWSKI Co Owner, Nutritionist 919-215-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 001101) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |