NPI | 1992174361 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN JONGEKRYG Clinical Social Worker 616-949-9006 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094737) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2015-09-16 |