| 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 |