| NPI | 1104842079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B DELVAUX President 888-381-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |