| NPI | 1184090649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA NICOLE PUENTE Speech Pathologist 248-234-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MI 7101001010) |
| Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication (Licence: MI 7101001010) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2016-02-12 |