NPI | 1023489895 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMA MANSOUR Physical Therapist 313-522-5777 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-10-29 |