| NPI | 1790153856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH HOUPT HOUPT Credentialing 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090190) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |