| NPI | 1265802979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCFARLAND Contract Specialist 574-289-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI L893994) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |