NPI | 1003981903 |
---|---|
Doing Business As | THE LONGFELLOW CLUB |
Entity Type | Organization |
Authorized Contact | JANE POLLEY Dietitian 508-358-7355 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2006-11-24 |
Last Update Date | 2015-06-09 |