| NPI | 1164741286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREN E CORNISH Owner 203-727-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000407) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000520) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2016-03-09 |