| NPI | 1659643039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE FABER Director Healthy Lifestyles 616-754-6407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |