| NPI | 1942747423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREEQ ELMORE CEO/ Owner 313-544-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |