| NPI | 1922405430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY HOSTERMAN President 810-679-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801083748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011000) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2021-01-26 |