| NPI | 1336564020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCHROAT President 734-730-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301008677) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301008677) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: MI 6301008677) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: MI 6301008677) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MI 6301008677) | |
| 103TC1900X Psychologist Counseling (Licence: MI 6301008677) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MI 6301008677) | |
| 103TF0000X Psychologist Family (Licence: MI 6301008677) | |
| 103TF0200X Psychologist Forensic (Licence: MI 6301008677) | |
| 103TH0004X Psychologist Health (Licence: MI 6301008677) | |
| 103TH0100X Psychologist Health Service (Licence: MI 6301008677) | |
| 103TP0814X Psychologist Psychoanalysis (Licence: MI 6301008677) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: MI 6301008677) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |