| NPI | 1801450085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA K COXTON Owner/Administrator 313-318-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |