| NPI | 1275105991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MENARD Member 734-657-1470 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |