| NPI | 1275958118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE E CONSIGLIO Registered Dietitian 586-778-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 00595403) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-03-01 |