| NPI | 1649819574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICIA WRIGHT Nutritionist 313-757-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |