| NPI | 1427612639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D ELKINS Registered Dietitian 248-519-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-01-24 |