| NPI | 1033654207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PEDEN CFO/Owner 248-349-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MI 5201008232) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |