| NPI | 1932106945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QURATULANN MOGHUL-PLEMONS Administrator/Owner 248-681-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-12-08 |