| NPI | 1033550389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANNE HOLBROOK Vocational Specialist 517-332-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |