| NPI | 1134510936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCDAVID Director Of Professional Services 800-482-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: VA 0119006522) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2015-02-15 |