| NPI | 1194199794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN SPENCE Senior Partner 313-702-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |