NPI | 1578173738 |
---|---|
Entity Type | Organization |
Authorized Contact | LATRIVIA GUINN Owner 517-240-2998 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
Enumeration Date | 2020-08-03 |
Last Update Date | 2022-03-18 |