| NPI | 1447700885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE UNDERWOOD President 517-281-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014172) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |