NPI | 1346568250 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT COMPTON Owner 480-497-3750 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ 8119) |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AZ 8119) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2010-05-21 |