| NPI | 1780040824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISITNA ETANISLAO Billing Manager 248-635-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |