NPI | 1275934879 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ADRIAN YOUNG CEO 941-586-4018 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: IN 130123091) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |