| NPI | 1255706925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI E BALL Clinical Social Worker 906-458-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080284) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |