| NPI | 1164925269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A HARVEY Owner 269-961-8589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090595) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |