| NPI | 1053781765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SMITH Partner 231-486-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401009566) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801093556) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |