| NPI | 1801902481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L JANDLE Owner 616-235-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801082338) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2012-08-01 |