NPI | 1033595665 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ST. JOHN Executive Director 248-581-8777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2022-08-23 |