| NPI | 1699767533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN R KEANE Executive Director 248-592-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |