| NPI | 1689097230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNE KOWALSKI Owner 231-683-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801065264) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-05-08 |