| NPI | 1528829447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LIETAERT Owner/Managing Member/Pmhnp 586-533-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |