| NPI | 1669725875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY ANN RICKMAN Therapist 313-799-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6401006504) |
| Additional Taxonomies | 251S00000X (Licence: MI 6801035053) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |