| NPI | 1174996748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENGAMEH ALLEN-SCHAAL Director Of Clinical Operations 202-846-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: DC MD33401) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 101245894) | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-06-16 |