| NPI | 1578966743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SNELLENBERGER Medical Biller 616-935-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093484) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |