NPI | 1588947345 |
---|---|
Doing Business As | GREAT LAKES COUNSELING |
Entity Type | Organization |
Authorized Contact | PAUL LUCKI SMITH President 248-656-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2011-09-27 |
Last Update Date | 2013-10-15 |