| NPI | 1205655404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYUR GOLI Owner 906-360-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |