| NPI | 1558607325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERSTEN MARY KIMMERLY Owner 517-712-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086284) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2016-05-21 |