| NPI | 1346928405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DAWN ELLISON Health And Wellness Coach 313-432-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-08-22 |