| NPI | 1659731479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE PARKER President 949-734-9254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA lci04080315) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |