| NPI | 1629461827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BROOKS Owner 269-425-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095782) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |