| NPI | 1528138393 |
|---|---|
| Former Legal Business Name | MESA HEALTH IMPROVEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | N. DOUGLAS ANDERSON President 480-325-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC4110) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-10-20 |