| NPI | 1063101384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MCGILLIVARY CEO 248-965-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2025-01-30 |