| NPI | 1750784161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN HIRSCHFELD President 866-745-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MA 8479) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |