| NPI | 1770434086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELINDA H RIVERA Executive Director 737-757-4062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083T0002X Preventive Medicine, Medical Toxicology |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-04 |