| NPI | 1508598939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AANISE HARRISON Owner 510-467-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-08-18 |