| NPI | 1427091198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME E BLOCK President 918-935-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-11-17 |