| NPI | 1700306503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY BENNETT Owner 269-303-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093831) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2025-01-10 |