| NPI | 1003553009 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YVONNE TAYLOR Owner 313-671-3252  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246Y00000X Spec/Tech, Health Info | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice | 
| 174H00000X Health Educator | |
| Enumeration Date | 2022-05-19 | 
| Last Update Date | 2022-05-19 |