| NPI | 1154679587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS LENA WINCHESTER Director 248-595-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-03-01 |