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 |