| NPI | 1710553722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA FRIMMEL Owner 248-606-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-09-08 |