| NPI | 1861951329 |
|---|---|
| Doing Business As | HIGH VITALITY LLC |
| Entity Type | Organization |
| Authorized Contact | JAMIE GRACE PHILLIPS President 810-931-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-06-11 |