| NPI | 1811180938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN ALI RANA Administrator/Owner 1586-939-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |