| NPI | 1154445047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON ADAMS HARTMAN Member 989-274-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078947) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |