| NPI | 1982238077 |
|---|---|
| Doing Business As | INTEGRIS HEALTH JIM THORPE REHABILITATION EARLYWINE PARK YMCA |
| Entity Type | Organization |
| Authorized Contact | DONNA M WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-02-21 |