| NPI | 1871046243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LINDSEY BINGHAM Clinical Nutritionist 813-321-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 7406) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL ND 7406) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-12 |