| NPI | 1659086593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH DALY Owner 989-245-8730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |