| NPI | 1801274410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA S WITUCKI Owner, Clinical Director 619-851-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT 3375) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |