| NPI | 1972981520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK BEVELL CEO 480-216-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ OTC7145) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2017-01-11 |