| NPI | 1033501655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA BARNETT Sole Manager 928-771-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: AZ 5397) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |