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 |