| NPI | 1942467121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA GRISHKOFF Vice President 239-948-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-12-04 |