| NPI | 1033609987 |
|---|---|
| Doing Business As | ROOTEAD |
| Entity Type | Organization |
| Authorized Contact | AISHA COULSON-WALTERS Clinical Coordinator 269-358-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801100561) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |