| NPI | 1215799978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK RIVETTE Owner 989-293-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 207Y00000X Otolaryngology | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-04-18 |