NPI | 1679863856 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNETTE MCCAIN President/CEO 313-952-1963 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301008988) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401002550) |
101YP2500X Counselor, Professional (Licence: MI 6401002550) | |
102L00000X Psychoanalyst (Licence: MI 6301008988) | |
103T00000X Psychologist (Licence: MI 6301008988) | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301008988) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6301008988) | |
103TC1900X Psychologist, Counseling (Licence: MI 6301008988) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6401002550) | |
103TF0000X Psychologist, Family (Licence: MI 6301008988) | |
103TF0200X Psychologist, Forensic (Licence: MI 6301008988) | |
103TH0100X Psychologist, Health Service (Licence: MI 6301008988) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MI 6301008988) | |
103TP0814X Psychologist, Psychoanalysis (Licence: MI 6301008988) | |
106H00000X Marriage & Family Therapist (Licence: MI 6301008988) | |
Enumeration Date | 2011-04-09 |
Last Update Date | 2011-04-09 |