| NPI | 1891908851 |
|---|---|
| Former Legal Business Name | CADC-NUTRITION |
| Entity Type | Organization |
| Authorized Contact | PEGGY SUBIA Project Director 580-393-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: OK 100818250B) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |