Search › Michigan › 175T00000X
Nathan Latta, CPRC
NPI 1033776745 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2081 W Grand Blvd
Detroit, MI 48208 - Phone
- (313) 895-0500
- Organisation at this address
- Sobriety House
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan