| NPI | 1366641219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE LANSING Owner 480-982-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-04-01 |