| NPI | 1316433329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA FAYAD Owner 313-551-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2020-06-11 |