| NPI | 1386699031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN DUNCAN Clinic Administrator 989-358-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-12-04 |