| Organization Name: | RELAXATION STATION |
| NPI Number: | 1790096931 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TEDDY B BRANDON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 23701 Red Arrow Hwy Mattawan |
| State: | MI US |
| Postal Code: | 490719701 |
| Phone Number: | 2696687770 |
| Fax Number: | 2696687770 |
| NPI Enumeration Date: | 06/22/2010 |
| NPI Last Update Date: | 06/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 5201001223 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |