| NPI | 1356356265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M STOFFER Office Manager 616-940-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801011390) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-01-17 |