| NPI | 1760828198 |
|---|---|
| Doing Business As | GREAT LAKES COUNSELING |
| Entity Type | Organization |
| Authorized Contact | PAUL SMITH President 248-656-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| 261QM0801X | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-10-15 |