| NPI | 1245955913 |
|---|---|
| Doing Business As | FELLOWSHIP SQUARE OUTPATIENT REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | JAMI F GROSS Executive Director 623-300-9401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |