| NPI | 1457920647 |
|---|---|
| Former Legal Business Name | VITALITY HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | RAHIMAH BEN-ASAD RAY-EL Owner 248-809-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-09-08 |