Organization · Type 2 NPI
Clark&associates Psychological Services, P.c.
Adult Mental Health Clinic/Center · Southfield, MI
NPI number
1871531400
Active
Practice location
16250 Northland Dr, Suite 245, 16250 Northland Drive, Suite 245
Southfield, MI 48075-5227
Fax (248) 559-7944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 6301001882 (MI) |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1871531400
Clark&associates Psychological Services, P.c.'s National Provider Identifier is 1871531400, issued on Jun 4, 2006. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Southfield, MI. The record was last updated on Jun 12, 2008.