| NPI | 1689211823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA EDWARDS Owner Nurse Practitioner 313-270-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2021-04-28 |