| NPI | 1134926454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISAL MAWRI Sole Member 810-410-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080S0010X Pediatrics, Sports Medicine | |
| 222Z00000X | |
| 224P00000X Prosthetist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-06-20 |