| NPI | 1841387099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C MITCHELL Therapist 616-451-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801035829) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-07-24 |