| NPI | 1982238077 |
|---|---|
| Doing Business As | INTEGRIS JIM THORPE REHABILITATION EARLYWINE PARK YMCA |
| Entity Type | Organization |
| Authorized Contact | BRENT DAVIS Vice President 405-949-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-03-05 |