| NPI | 1265074827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN VANDEWATER Speech Language Pathologist 989-370-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-09-19 |