NPI | 1902370687 |
---|---|
Doing Business As | INTEGRIS JIM THORPE REHABILITATION YMCA HEALTHY LIVING CENTER |
Entity Type | Organization |
Authorized Contact | BRENT DAVIS Vice President 405-949-3774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-23 |