| NPI | 1164213070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LOUISE KING Therapist/ Social Worker 231-590-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |