| NPI | 1194751677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WIGGINS President 248-840-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2021-06-17 |