NPI | 1255343869 |
---|---|
Entity Type | Organization |
Authorized Contact | ERROL LIVERPOOL President 248-905-5172 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 4301062403) |
103T00000X Psychologist (Licence: MI 5101006388) | |
104100000X Social Worker | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2020-08-22 |