| NPI | 1427509231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JASON MULLANEY Director 954-870-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: KY 164306) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |