| 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 |