| NPI | 1326091455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADDAR ICHILOV Business Administrator 602-439-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC 3834) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-11-28 |