| NPI | 1285861328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE POAG President/CEO 616-975-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801012603) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |