| NPI | 1174511372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART ANTHONY President Owner 248-338-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 631300) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 631300) |
| 101YM0800X Counselor Mental Health (Licence: MI 631300) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MI 631300) | |
| 103TF0000X Psychologist Family (Licence: MI 631300) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MI 631300) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 631300) | |
| 1041C0700X Social Worker Clinical (Licence: MI 631300) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-07-10 |