| NPI | 1205187093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M MERRITT Clinical Social Worker 616-892-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085401) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |