| NPI | 1588041651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI INGRAM Manager 848-467-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |