| NPI | 1922469246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL D BARKER Organizer Incorporator/ Ccc Slp 616-255-6609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#4018) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-05-11 |