| NPI | 1023845179 |
|---|---|
| Doing Business As | INTEGRIS JIM THORPE REHABILITATION YMCA HEALTHY LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | DONNA M WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |