NPI | 1679153662 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BOULAY Owner 480-356-4370 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 251B00000X Case Management |
261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
Enumeration Date | 2021-04-13 |
Last Update Date | 2021-04-13 |