| NPI | 1588911143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CSONTOS Registered Dietitian 908-208-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |