| NPI | 1346437308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | N DOUGLASS ANDERSON Owner 480-325-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC4110) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |