| NPI | 1053089193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA KOTTKE Owner/Nurse Practitioner 810-623-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |