| NPI | 1073647731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN ELISABETH TYSELL Administrative Director 248-559-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 630534) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 630534) | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-10-28 |