| NPI | 1053364679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAMUNDEESWARI MUTHUVINAYAGAM Owner/Administrator 810-966-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: N/A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-03-14 |