NPI | 1447689518 |
---|---|
Doing Business As | RIVERWOOD CENTER |
Entity Type | Organization |
Authorized Contact | JIM JUMP Children's Team Supervisor 269-934-1611 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801035990) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2013-11-08 |