| NPI | 1114260494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERT GUZMAN President 602-300-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC5691) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-07-29 |