| NPI | 1578200754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MYERS Owner/Manager 931-808-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-19 |