| NPI | 1215612759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JENNIFER FRYER Owner, Registered Dietitian 203-450-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |