| NPI | 1710410519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE SCHULTE Executive Director 602-903-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |