| NPI | 1366865453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RENZEMA Program Director 269-372-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087024) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |