| NPI | 1184149866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN V BARBER Owner 248-755-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007614) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301007614) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301007614) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301007614) | |
| 103TF0200X Psychologist, Forensic (Licence: MI 6301007614) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |