| NPI | 1285192294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA TAUNNETTE WHEELER Owner/Social Work Provider 231-224-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-12-02 |