| NPI | 1427728773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WITHERS Dietitian/Owner 207-977-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2025-01-09 |