| NPI | 1639367170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA CHRISTMAS Acting Director, Cms 626-569-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |