| NPI | 1518393313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R GOLDSMITH Sole Member 616-430-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090255) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |