| NPI | 1427853456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JANE LOEB Authorized Official / Sole Member 231-333-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |