| NPI | 1992188999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA SEGRETO Owner 870-639-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-09-01 |