| NPI | 1134412273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J SUAREZ President 336-416-4913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |