| NPI | 1760351290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANIYA FOSTER Owner 313-613-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |