| NPI | 1972067189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA CAROLE SORENSON VELTING Clinical Social Worker 616-460-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-05-29 |