| NPI | 1083702203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S GRANT CEO 505-325-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 99-216) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-05-13 |