| NPI | 1598490252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELMA DE LA FUENTE Registered Dietitian Nutritionist 404-229-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |