| NPI | 1215041702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CLEMENS-GRAY Owner 231-935-0574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801070275) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |