NPI | 1184171498 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801059540) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2021-05-14 |