| NPI | 1184345670 |
|---|---|
| Doing Business As | PHOENIX REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | MALLORI LYNN RATCLIFF Co Owner 808-233-9816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |