| NPI | 1154308518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN COLE Credentialing Specialist 810-275-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IL 362170152) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2021-10-07 |