| NPI | 1295898385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN F. KING Owner 313-292-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301009925) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801077910) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401008900) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401007447) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401009679) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401008194) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401009106) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 009925) | |
| 103T00000X Psychologist (Licence: MI 6301009054) | |
| 103TS0200X Psychologist, School (Licence: MI 6301010278) | |
| 104100000X Social Worker (Licence: MI 6801083794) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801064655) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801063516) | |
| 122300000X Dentist (Licence: MI 2901019243) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-06-16 |