| NPI | 1891271458 |
|---|---|
| Other Name | BALANCED WHOLISTIC LIVING |
| Entity Type | Organization |
| Authorized Contact | MIA LOVE Executive Director 313-922-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |