| NPI | 1851487219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIRA PERVEEN President Administrator 734-285-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |