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 |