| NPI | 1962216085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR CROSSLEY Owner 810-406-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171400000X Health & Wellness Coach | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |