| NPI | 1891918850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PAYNE Director Of Reimbursement 203-688-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CT 000582) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |