| NPI | 1982060695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANK PULLIAM CEO/President 760-646-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |