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 |