| NPI | 1760955736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WECKEL Owner 269-240-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2021-01-22 |