| NPI | 1699135103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBIE CHRISTIAN President 586-200-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801090472) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |