| NPI | 1306145925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ECKMAN Registered Dietitian/Owner 970-281-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 00886808) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |