| NPI | 1790935567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR ESQUEDA Owner/Manager 928-446-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ 3395) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |