| NPI | 1033499298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELY A EASTER Administrator 901-590-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-11-07 |