| NPI | 1215321195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA AFONSKY Licensed Nutritionist 202-460-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: DC NU1000000162) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |