| NPI | 1831470103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K. WING Owner 602-393-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ TSLP7413) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-09-16 |