NPI | 1508571522 |
---|---|
Doing Business As | TREE OF LIFE SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | CARLA SUE CHAUDOIN Owner/Biller 734-334-8639 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2023-01-16 |
Last Update Date | 2023-01-16 |