| NPI | 1629000799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA MARIE DAVENPORT Physical Therapist/CEO 734-483-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 5501009797) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-08-18 |