| NPI | 1922306323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEXIE CARR Program Manager 616-844-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801077678) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2024-01-18 |