Flourish Center For Cultivating Human Potential
Social Worker, Clinical in Jackson, MI. Organization (NPI-2).
NPI number1669920344
StatusActive
Last updated in NPPESSep 12, 2016
Details
- NPI
- 1669920344
- Entity type
- Organization (NPI-2)
- Legal business name
- Flourish Center For Cultivating Human Potential
- Organization subpart
- No
- Enumeration date
- Sep 12, 2016
- Last updated
- Sep 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801097448 | MI | Yes |
Practice location
2301 E Michigan Ave Ste 214Jackson, MI 49202-3765
Phone 517-745-8682 · Fax 517-513-6536
Mailing address
2301 E Michigan Ave Ste 214Jackson, MI 49202-3765
Phone 517-745-8682 · Fax 517-513-6536
Authorized official
Korah Hoffman
Founder/Ceo
5177458682
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