| NPI | 1013806348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CAMPETELLA Owner 187-551-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133N00000X Nutritionist | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-12-26 |