| NPI | 1235546193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE JOHNSON MAIGA Psychiatric Nurse Practitioner 734-799-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704286422) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |