| NPI | 1932851821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE OLIVER President/Sr. Managment 267-731-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |