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 |