| NPI | 1972756351 |
|---|---|
| Other Name | THE LIGHTHOUSE NEUROLOGICAL REHABILIATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMIE MICHAEL PINTAR Clinical Psychologist 231-714-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6301013916) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 6301013916) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: MI 6301013916) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2012-04-02 |