NPI | 1154003606 |
---|---|
Doing Business As | SOULRISE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-08-07 |