| NPI | 1881204774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER K KLOESS Speech Language Pathologist 989-284-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |