| NPI | 1780038414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HOLTZ Case Manager 888-757-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: DE MT0004330) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |