| NPI | 1003344128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA I WORST Licensed Clinical Social Worker 616-466-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093737) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |