| NPI | 1609664184 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JACOB ALLEN ROBINSON Owner / Pmhnp 313-409-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |