| NPI | 1932538063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L THOMPSON Owner 269-372-9658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096260) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |