| NPI | 1497989263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ROBERT NAGY Business Manager 586-979-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2024-04-24 |