| NPI | 1265925861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CARSON Lmsw 231-944-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098639) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-08-02 |