| NPI | 1619907052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M. FEATHERSTONE Office Manager 906-227-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 520056) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-06-10 |