| NPI | 1396278925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE GANSS Owner 231-299-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801090644) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |