| NPI | 1437197217 |
|---|---|
| Doing Business As | OUTPATIENT REHAB AGENCY |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A. VIDOVIC Executive Director 313-846-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-08-13 |