| NPI | 1013236124 |
|---|---|
| Doing Business As | NEURORESTORATIVE NEW |
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVIS Sr. Business Director 618-303-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2015-05-27 |