| NPI | 1285526863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHA KSIONDA CEO 520-609-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2026-02-09 |