| NPI | 1740770502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH RIDDICK Co Owner 713-301-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65831) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |