| NPI | 1891451555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA M SAMMANASU POKORZYNSKI Provider 989-464-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-12-20 |