| NPI | 1730328832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CLEMENTE Admin Dir. 586-620-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2015-01-15 |