| NPI | 1568714269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MELTON CEO 432-349-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: TX 1016859) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |