| NPI | 1538924204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MARIE STEKETEE Licensed Clinical Social Worker 231-730-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |