| NPI | 1093256646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERSON LANE DELACROIX Owner/Operator & Psychologist 734-544-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 101Y00000X Counselor | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2021-10-05 |