| NPI | 1588620355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM S REED Bus Op Adm 229-985-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL 10-6803) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-04-30 |