NPI | 1255759486 |
---|---|
Doing Business As | LAKE ORION COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | ADAM ROSS PASCIAK Clinical Psychologist 248-807-9894 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015095) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2021-08-18 |