| NPI | 1194360990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY MENCH Executive Director 231-689-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |