| NPI | 1861177719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE MENDES Owner 617-797-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |