| NPI | 1861854564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GAETA-BARJE Rehab Supervisor 904-292-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: GA SLP006732) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |