Organization Name: | ROBERTSON SERVICES LLC |
NPI Number: | 1245694793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY BETH HOUPT (CREDENTIALING) |
Mailing Address: | 313 W Main St Ionia |
State: | MI US |
Postal Code: | 488461639 |
Phone Number: | 6165236537 |
Fax Number: | 8667767556 |
NPI Enumeration Date: | 04/11/2016 |
NPI Last Update Date: | 04/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801086213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |