| NPI | 1497012975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES WEITZEL Owner 616-446-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801011410) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |