| NPI | 1760251490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA LYNNE GOSS Owner / Registered Dietitian 814-386-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |