| NPI | 1548950793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HOBSON CEO 248-417-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-12 |