| NPI | 1700181526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MANOUSOS Owner 617-413-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |