| NPI | 1043877053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SPIVEY President 734-655-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |