| NPI | 1669672705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE LANETTE VALENTINE Neurologist 248-569-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 4301053752) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-06-08 |