| NPI | 1326643586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CHRISTOPHER PLOCH Clinical Social Worker 517-672-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |