| NPI | 1548599087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIZABETH GRACE-NEU VAN WIEREN President 336-692-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003456) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |