| NPI | 1073973129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN KELLY Program Director 707-451-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |