| NPI | 1902393440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNE ROBERTS Member/Clinical Therapist 906-250-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093508) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |