| NPI | 1851889794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLISTA UGORJI Administrator 313-535-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |