NPI | 1770335382 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT TURNER BEAVERS Credentialing Manager 919-210-7661 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2024-04-05 |
Last Update Date | 2024-04-05 |