NPI | 1801333083 |
---|---|
Entity Type | Organization |
Authorized Contact | TAREK CHARARA Owner/CEO 313-400-0063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |