NPI | 1396161337 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WAYNE PARKER President 949-200-2341 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |