| NPI | 1275579773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA PERSENAIRE Clinical COO Rdinator 269-372-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801060135) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |