| NPI | 1497203566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA NICHELLE NELSON President 909-735-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA PT24657) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-12-20 |