| NPI | 1144116732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHAD KHAN Managing Member 248-425-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251J00000X Nursing Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-07-29 |