| NPI | 1942937149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA K PETERSON Mental Health RN 313-576-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-07 |