| NPI | 1710030721 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HARRY EDWARD CAPPS President 313-213-6377 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801062346) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301008488) | 
| 103T00000X Psychologist | |
| Enumeration Date | 2007-01-21 | 
| Last Update Date | 2025-09-11 |