| NPI | 1083842116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEFINE LAMPASONA Registered Dietitian 586-291-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: 947399) |
| Enumeration Date | 2009-06-27 |
| Last Update Date | 2009-07-28 |