| NPI | 1942529466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIGI JOHN CEO/Owner 248-233-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2013-02-21 |