| NPI | 1578984647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORY DANIELLE BROWN Recreation Assistant 989-413-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |