| NPI | 1952270688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKAILEY MAE DE ALMEIDA Pmhnp 517-296-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-12-02 |