| NPI | 1801135157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA L MALONE Authorized Official 313-574-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |