NPI | 1245688118 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIADE OGUNSOLA Registered Dietitian 302-632-5260 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 00997559) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-09-05 |