NPI | 1164599544 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN GANNON Regional Director Of Michigan 734-407-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
103T00000X Psychologist | |
133V00000X Dietitian, Registered | |
225X00000X Occupational Therapist | |
225100000X Physical Therapist | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2015-08-06 |