NPI | 1780922559 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK SCHEFFERS Clinician 269-350-6324 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091379) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2013-01-29 |