| NPI | 1013380427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARWICK DAVID ARMSTRONG Manager 810-229-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301002961) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: MI 4101005450) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006471) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401012196) | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |