| NPI | 1467225946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSER MANSOUR CEO 313-207-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-04-25 |