| NPI | 1205983038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R MILLER-CLARKSON CEO 734-854-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-07-05 |