| NPI | 1609689488 |
|---|---|
| Doing Business As | SUCCESS ON THE SPECTRUM, SOUTHGATE |
| Entity Type | Organization |
| Authorized Contact | SHALLU BHANOT CEO 734-624-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |