| NPI | 1053759589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A BRADLEY President 231-425-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI LB064630) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2024-03-14 |