| NPI | 1659500296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLLY ELACO G ELACO President/CEO 313-729-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501011330) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |