| NPI | 1013300151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M FEATHERSTONE Administrative Assistant 906-227-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801033467) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |