| NPI | 1568488062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIF MAJEED CHAUDHRY Alternate Administrator 313-862-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-07-02 |