NPI | 1891182598 |
---|---|
Entity Type | Organization |
Authorized Contact | TONYA R BUTLER CEO 800-680-4039 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2015-04-20 |
Last Update Date | 2015-04-20 |