| NPI | 1285914903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN CAMPBELL Co Owner 860-404-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 1029) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |