| NPI | 1053159210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KEANE CEO 267-961-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |