| NPI | 1003392796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ELAINE MCCOY Director 248-579-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |