| NPI | 1720173578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WALLACE ELLIOTT CEO 704-210-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 811309) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |