| NPI | 1275577215 |
|---|---|
| Doing Business As | COURAGE KENNY REHAB ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-06-21 |