| NPI | 1811495666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL S DANN Owner/Agent 231-215-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801058939) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |