| NPI | 1750244125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROSE SCHANTZ Licensed Clinical Social Worker 989-400-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2026-01-13 |