NPI | 1376300616 |
---|---|
Doing Business As | OAKLAND PSYCHOLOGICAL CLINIC OF MICHIGAN |
Entity Type | Organization |
Authorized Contact | LESLIE JOHNSON CEO 704-506-6267 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-13 |