# CENTRIA HEALTHCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Centria Healthcare - Southgate Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093112070
- **Authorized official:** CHRISTOPHER WILCOX (PRESIDENT)
- **Authorized official phone:** (248) 299-0030

## Contact information

- **Practice address:** 13101 ALLEN RD, BUILDING \#5, SOUTHGATE, MI 48195-2216
- **Practice address phone:** (248) 299-0030
- **Mailing address:** 41521 W 11 MILE RD, NOVI, MI 48375-1803
- **Mailing address phone:** (248) 299-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 12/09/2014