| NPI | 1740050277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY OGDEN Owner 618-610-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |