| NPI | 1235645847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE BLAKE Owner/Clinical Director 989-324-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-14-17456) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-02-04 |