| NPI | 1023208972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE E. GREEN Authorized.Representative 561-385-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2010-01-02 |