| NPI | 1316059413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PIANKO CEO 734-728-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MI 825754) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-10-07 |