| NPI | 1720355241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HAAS Member 571-241-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2019-09-11 |