| NPI | 1861838203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE BENNETT PROCTOR President 269-405-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801069783) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |