| NPI | 1427256239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE JOSEPH JOHNSON President 989-723-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301002288) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301002671) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801019150) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101005346) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2009-07-08 |