| NPI | 1891411542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN M KUBEK Human Resources Coordinator 734-926-0740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |