| NPI | 1568850337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI LUCAS Owner/Registered Dietitian 717-372-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2016-01-13 |