| NPI | 1851145502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT FORTENBACHER Executive Director 231-578-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |