| NPI | 1902444631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M CLARK Vice President Of Operations 866-832-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |