| NPI | 1831434042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN CROSS Business Manager 231-946-9575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |