| NPI | 1144679721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SPEESE Executive Director 231-876-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086768) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |