| NPI | 1639273857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH K. SURYAVANSHI Owner/Administrator 810-412-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2015-11-04 |