| NPI | 1477969574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN NEWMAN President / Owner 505-377-7539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: NM 11423NMPFT) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 11423NMPFT) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |