| NPI | 1528780905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE MORGAN Dieititan/Owner 316-215-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-23 |