| NPI | 1831602481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE WILSON Owner 313-888-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-11-10 |