| NPI | 1801240734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDY D GOINS Owner 586-359-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2017-03-13 |