| NPI | 1033662598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VAN OVERLOOP Clinical Social Worker 906-228-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801095644) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |