| NPI | 1306130281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY WOLAN Controller 561-209-6108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2019-02-20 |