| NPI | 1568061851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BRISTOL President 989-787-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |