| NPI | 1932208535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM PANACHAKUNNIL JOSEPH Administrator 248-946-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-05-09 |