NPI | 1205371341 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIK BRIAN Owner 949-370-0771 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 300182DP) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2016-12-28 |