| NPI | 1295558120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZACHARY PERRINO Managing Director 928-910-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |