| NPI | 1235534322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN HUSTED Owner 906-332-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086548) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |