| NPI | 1922802487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J RUSS Founder/Clinical Social Worker 231-884-9318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |