| NPI | 1295290443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE JOHANNSEN-WILK Registered Clinical Dietician 313-343-3481 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |