| NPI | 1043922305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANNE MCCOLLUM Speech Language Pathologist 269-350-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |