| NPI | 1649780198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALLEN WAYCHOFF COO/Manager 480-634-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2018-01-30 |