| NPI | 1316211865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BARBARA JENSEN President 267-374-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: PA DC009700) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-10-20 |