| NPI | 1962906008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SMITH President 256-721-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IL 712484) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AL 1396) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: AL 1396) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |