| NPI | 1730983990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA T BEARD Nurse Practitioner 734-406-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |