NPI | 1598219743 |
---|---|
Entity Type | Organization |
Authorized Contact | KARYN G BUTLER Owner 734-231-0933 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704199004) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2024-10-07 |