NPI | 1558856542 |
---|---|
Entity Type | Organization |
Authorized Contact | ARKADIUSZ M DEBICKI President/Owner 574-255-8730 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2020-02-15 |