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MOMENTUM REHAB LLC NPI 1295125250


NPI Information

NPI: 1295125250
Provider Name: MOMENTUM REHAB LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
7926 ANN ARBOR ST
DEXTER, MI
ZIP 48130
Phone: (734) 320-2497
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MOMENTUM REHAB LLC is a mental health (including community mental health center) clinic center in Dexter, MI. MOMENTUM REHAB LLC NPI is 1295125250. The provider is registered as an organization entity type.

The provider's business location address is:

7926 ANN ARBOR ST
DEXTER, MI
ZIP 48130-344
Phone: (734) 320-2497

The provider's authorized official is Terry L Braciszewski .
The authorized official title is Director and has the following contact phone number (734) 320-2497.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 1/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6301006431MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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