| NPI | 1578291514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN PRICE Nurse Practitioner/ Manager 734-834-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |