| NPI | 1164538005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADGETT D VANHOUTTEGHEM President/Owner 989-551-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI V 532 676 139 500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI V 532 676 139 500) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-06-24 |