| NPI | 1427326560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LITTLE Administrator 248-894-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QP3300X Clinic/Center, Pain | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2013-02-04 |