| NPI | 1861489502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGIRDAS ANTANAS JUOCYS Chief Medical Officer 248-475-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: IL 850328) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-08-31 |