NPI | 1255477618 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E. GILDERSLEEVE Chairman Of The Board 765-747-3365 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2007-01-30 |
Last Update Date | 2008-09-24 |