| NPI | 1194922906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL MCCORMICK Patient Account Manager 517-784-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |