| NPI | 1174047286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BROWDER Billing Manager 313-888-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-21 |