| NPI | 1417413576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA REINA NEBRE Practice Manager 808-828-2885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |