| NPI | 1003767203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSCHE M BANKS Nurse Practitioner 586-436-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-19 |