| NPI | 1104517135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLA RAE HANSEN Licensed Masters Social Worker 517-755-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |