NPI | 1225335557 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS HALLER President 989-239-8628 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801065092) |
Enumeration Date | 2011-02-23 |
Last Update Date | 2011-03-31 |