NPI | 1225701683 |
---|---|
Doing Business As | FOUNDATION THOUGHTS |
Entity Type | Organization |
Authorized Contact | SHIBA NIXON Provider 313-550-9605 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-07-30 |
Last Update Date | 2021-11-24 |