| NPI | 1063893907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LEE VANHARMELEN Clinical Social Worker 616-780-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090152) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |