| NPI | 1811720691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WHINNERY Practice Owner 231-202-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |