| NPI | 1538609177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE RUTH NORRIS Owner 231-838-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095439) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2021-05-26 |