NPI | 1609978766 |
---|---|
Former Legal Business Name | GARDEN GROVE MTU |
Entity Type | Organization |
Authorized Contact | LAURELL MAURO Manager 805-981-5223 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2006-09-01 |
Last Update Date | 2008-06-18 |