| NPI | 1356352082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL K BURGER President 916-983-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: N/A) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-04-02 |