| NPI | 1710622071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA PRICE Owner 601-668-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |