| NPI | 1720589286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HARVELL Clinical Director 269-635-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MI SA0140016) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |