| NPI | 1588870984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GUSHO CFO Se Mi Region 248-858-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 1080000050) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-10-05 |