| NPI | 1871019547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY KOHLER Business Owner 231-715-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092212) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-06-11 |