Organization
NEW VISION WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONORINE N NJITA DNP,FNP-BC (ADMINISTRATOR)
(313) 529-1267
Entity
Organization
Contact information
Practice address
44777 SALTZ RD, CANTON, MI 48187-2982
(313) 529-1267
Mailing address
44777 SALTZ RD, CANTON, MI 48187-2982
(313) 529-1267
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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