| NPI | 1639034945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMOONA HAMEED KHAN Owner/ Provider 734-262-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |