NPI | 1558909119 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN LYNN HARRIS Licensed Master Social Worker 269-350-4677 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-12-13 |
Last Update Date | 2019-12-13 |