| NPI | 1104468453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDAH BOULET CEO/Managing Partner 401-233-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |