| NPI | 1457653537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA LAI WAH MA Dietitian 617-482-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: MA 133V00000X) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-12-07 |