| NPI | 1003120809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH AUGUSTINE Director/Owner 203-790-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 00849120) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |