| NPI | 1821235102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A JOHNSON Owner 734-453-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301000908) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101000434) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |