NPI | 1407180284 |
---|---|
Entity Type | Organization |
Authorized Contact | VLADIMIR ROBERT VANDALOV Owner 248-990-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005273) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301000821) |
1041C0700X Social Worker, Clinical (Licence: MI 6801069906) | |
Enumeration Date | 2009-09-25 |
Last Update Date | 2010-07-27 |