| NPI | 1831605567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN BARNES Credentialing 616-490-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2023-02-05 |