NPI | 1073154837 |
---|---|
Doing Business As | LIFE RECOVERY THERAPY |
Entity Type | Organization |
Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2019-10-03 |
Last Update Date | 2025-03-26 |