| 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 |