| NPI | 1053615062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GLEASON GARDNER Owner 617-332-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MA 2055) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2026-05-06 |