| NPI | 1750620225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WHITE President 248-759-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704156612) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-12-18 |