| NPI | 1467433805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMO LE EUGENIO Director 989-792-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 00671321) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-22 |