| NPI | 1538441092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAMS A VP Financial Services 980-487-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L002365) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC L000753) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: NC L002365) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |