| NPI | 1659470300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ERIN MUNSEY Clinic Coordinator 909-783-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-10-05 |