NPI | 1417037797 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE L MCCALL President And CEO 313-871-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
1041C0700X Social Worker, Clinical | |
163W00000X Registered Nurse | |
171M00000X Case Manager/Care Coordinator | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2014-12-04 |