| NPI | 1134575509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS MALLI DE ESCOBAR Owner 203-757-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 6917) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2017-10-30 |