| NPI | 1134751035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY KOREZ ZACHARIAH President 586-215-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |