| NPI | 1699852574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LOUISE RUYLE Owner 231-737-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-07-21 |