| NPI | 1689326837 |
|---|---|
| Doing Business As | BEACON WELLNESS AND PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | KAROLYN WILDER Provider/Member 231-881-8838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-10-24 |