| 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 |