| NPI | 1558259077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY IRELAND Licensed Master Social Worker 517-858-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |