| NPI | 1134965973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GERARD ALLEVA Owner 860-616-8549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |