| NPI | 1851920581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANTHONY Owner/ Clinical 248-346-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |