| NPI | 1033718457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERYNNE LOUISE RUSSELL Speech Language Pathologist 616-202-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |