| NPI | 1548631120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BERGER Clinical Operations Manager 267-940-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133N00000X Nutritionist | |
| 225100000X Physical Therapist | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2023-12-29 |