| NPI | 1922674977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BLAKE Heart Disease And Diabetes 856-208-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |