| NPI | 1114405958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801097891) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |