| NPI | 1790854669 |
|---|---|
| Former Legal Business Name | COMMUNITYREHAABILITATION CENTER INC |
| Entity Type | Organization |
| Authorized Contact | REGINALD L GAFFNEY Executive Director 904-358-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |