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 |