| NPI | 1952946840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB KETEYIAN Director 248-891-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist Counseling | |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 174H00000X Health Educator | |
| 176B00000X Midwife | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| 364SC1501X Clinical Nurse Specialist Community Health/Public Health | |
| 364SC2300X Clinical Nurse Specialist Chronic Care | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |