NPI | 1801552039 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORA CURTIS Owner 313-415-7240 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2021-11-11 |
Last Update Date | 2021-11-11 |