| NPI | 1922744879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ARNOLD CEO 313-948-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 261QR0800X Clinic/Center Recovery Care | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |