| NPI | 1164574430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE L STOCKINGER Owner 616-940-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801080952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704077527) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-09-09 |