| NPI | 1376682641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LAVANNE OGILVIE President 269-373-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 071800) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |