| NPI | 1639228000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DARRYL ADAMO Owner 586-252-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301006332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801076906) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801091557) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-03-02 |