| NPI | 1841682648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SICLARE Nutritionist 203-994-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT CNS16122) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |