| NPI | 1164891974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIEMAT ISSA Managing Partner CEO 904-768-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2018-06-16 |