| NPI | 1770235293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN HASSAN-KHALIL ABDALLAH Clinical Director 313-802-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |