NPI | 1184375362 |
---|---|
Entity Type | Organization |
Authorized Contact | ESHA DUSHON PRICE Nurse Practitioner 313-635-5978 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 104100000X Social Worker |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
374U00000X Home Health Aide | |
Enumeration Date | 2022-01-10 |
Last Update Date | 2023-12-07 |