| 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 |