| NPI | 1003843392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMPLE TRIPATHI Administrator 248-552-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NA) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-01-09 |