| NPI | 1760925556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE RESPRESS Certified Nurse Technician 313-372-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |