| NPI | 1659562288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER BURNIDGE HANDLEY Managing Director 586-232-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: MI 2301004854) |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |