| NPI | 1184273716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI L. PRITCHETT-JOHNSON Principal Owner/Psychologist 313-673-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TP2701X Psychologist Group Psychotherapy | |
| 104100000X Social Worker | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |