| NPI | 1750771200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONISS L HICKS President/Wellness Specialist 313-618-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: MI 812531) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |