| NPI | 1811221955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DOROTHY BOTWICK Owner/Physician 203-387-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT #000301) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CT #000301) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |