NPI | 1679112676 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY CABELL President 586-871-0439 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2019-12-23 |
Last Update Date | 2025-07-24 |