| NPI | 1093112070 |
|---|---|
| Doing Business As | CENTRIA HEALTHCARE - SOUTHGATE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WILCOX President 248-299-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-12-09 |