NPI | 1659572444 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL GENE FATATO President 269-962-4414 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007576) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801087444) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-22 |