| NPI | 1255851440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A KNAFFLE Owner 231-622-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091159) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |