| NPI | 1598578288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL ELZENY CEO 313-318-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 251B00000X Case Management | |
| 106E00000X Assistant Behavior Analyst | |
| 253Z00000X In Home Supportive Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 171M00000X Case Manager/Care Coordinator | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-09-23 |