| NPI | 1477384733 |
|---|---|
| Doing Business As | HEADSPACEWELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTHONY OPARA Nurse Practitioner 313-585-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |