| NPI | 1568730281 |
|---|---|
| Other Name | AUTISM COLLABORATIVE CENTER |
| Entity Type | Organization |
| Authorized Contact | KRISTINE LYNN KASTLE-RUETHER Managing Director 734-487-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 5201007984) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 1780989020) |
| 174400000X Specialist (Licence: MI 23317193) | |
| 174400000X Specialist (Licence: MI 1699070656) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 1215113246) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2019-01-15 |