| NPI | 1699372888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANCA M EDWARDS Speech Language Pathologist 248-703-5924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |