| NPI | 1164078648 |
|---|---|
| Doing Business As | INDIVIDUALLYTICS CONNECTED CARE |
| Entity Type | Organization |
| Authorized Contact | DENNIS NASH President 248-432-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-07-29 |