| NPI | 1336682426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DOTSON Clinical Social Worker 616-893-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091245) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-01-10 |