| NPI | 1376045328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE J RAUSER Owner 616-648-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096860) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |