| NPI | 1205437167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIDAD ASOUFY Owner/Authorized Official 734-239-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |