| NPI | 1932334133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LESLEY WERNER Registered Dietitian 860-677-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 0003927994) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |