| NPI | 1861941379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MILLER DWYER CEO 704-640-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 818708) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 818708) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |