| NPI | 1164943353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DEVERMAN Owner 231-878-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095051) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |