NPI 1023134400

Irvine Head Injury,inc

Organisation Physical Disabilities Residential Treatment Facility Southfield, MI

Practice location

Address: 25700 Lahser Rd, Southfield, MI 48034-5809
Phone: (248) 415-2500
Mailing address: 30066 Pondsview Dr, Franklin, MI 48025-1524

Authorised official

Name: Artesia McNeal
Title: President
Phone: (248) 415-2526

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1023134400
Entity type: Organization
NPI issued: 21 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.