| NPI | 1104219765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNAN HANNA MIKHAIL President 831-207-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-06-22 |