| NPI | 1184730798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA CABRERA President 704-302-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |