Organization
BIO PSYCHO SOCIAL HOLISTIC MENTAL HEALTH STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA KOTTKE (OWNER/NURSE PRACTITIONER)
(810) 623-1226
Entity
Organization
Contact information
Practice address
3222 EDEN TRL, BRIGHTON, MI 48114-9185
(810) 623-1226
Mailing address
3222 EDEN TRL, BRIGHTON, MI 48114-9185
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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