Provider Demographics
NPI:1407454382
Name:RESEARCH INSTITUTE FOR FORENSIC NEUROPSYCHOLOGY
Entity Type:Organization
Organization Name:RESEARCH INSTITUTE FOR FORENSIC NEUROPSYCHOLOGY
Other - Org Name:ARBOR MOUNTAIN THERAPY & ASSESSMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRIFFOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-922-5251
Mailing Address - Street 1:1851 WASHTENAW RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1702
Mailing Address - Country:US
Mailing Address - Phone:734-922-5251
Mailing Address - Fax:
Practice Address - Street 1:1851 WASHTENAW RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1702
Practice Address - Country:US
Practice Address - Phone:734-922-5251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2023-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty