| NPI | 1538544911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL SELDON Speech Language Pathologist 734-730-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-29 |