| NPI | 1588719116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA WEBBER-CHRISTMAS Acting Director, Cms 626-569-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |