| NPI | 1326889585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA JIMENEZ Owner 586-944-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |