| NPI | 1326421942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE PERLSON Owner 203-482-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 1026400) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |