| NPI | 1467816223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K GREYDANUS-HAWVER Owner 269-830-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088281) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |