| NPI | 1043413966 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT CHOUTEAU Director 214-340-5090 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0000X | 
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care | 
| Enumeration Date | 2007-06-07 | 
| Last Update Date | 2025-09-11 |