| NPI | 1437871845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY LISA HAWKINS-JACK Licensed Clinical Social Worker 989-715-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |