| NPI | 1639956972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONORINE N NJITA Administrator 313-529-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |