| NPI | 1669095758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND SEGAL Member 480-508-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-04-08 |