| NPI | 1396401543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERGIS JASSIM Admin 313-903-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-13 |