| NPI | 1053025635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA OWENS Owner 480-468-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-02-10 |