| NPI | 1265529499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A BLACK President 800-228-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: SC MD5514) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |