| NPI | 1881939346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA IRISH Clinical Director 734-926-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2016-12-01 |