| NPI | 1467818468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801058855) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2025-11-03 |